MEDX MEDICAL CENTER INC. NPI 1861929077

NPI Information

NPI: 1861929077
Provider Name: MEDX MEDICAL CENTER INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2077665

Address:
220 SW 84TH AVE STE 201
PLANTATION, FL
ZIP 33324
Phone: (954) 584-7009
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MEDX MEDICAL CENTER INC. is a multi-specialty clinic center in Plantation, FL. MEDX MEDICAL CENTER INC. NPI is 1861929077. The provider is registered as an organization entity type.

The provider's business location address is:

220 SW 84TH AVE STE 201
PLANTATION, FL
ZIP 33324-729
Phone: (954) 584-7009
Fax: (954) 584-7209

The provider's authorized official is Bart K Gersenbaum .
The authorized official title is Owner and has the following contact phone number (954) 584-7009.

The CLIA number assigned to this NPI record is 10D2077665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2017 and was last updated on 7/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	OS4663	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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